GULF COAST HMA PHYSICIAN MANAGEMENT LLC
NPI 1114695087
Orthopaedic Surgery in Venice, FL

NPI Status: Active since September 03, 2021

Contact Information

836 SUNSET LAKE BLVD STE 102
VENICE, FL
ZIP 34292
Phone: (941) 497-1771
Fax: (941) 497-1860

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  • Organization
  • Orthopaedic Surgery

About GULF COAST HMA PHYSICIAN MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Gulf Coast Hma Physician Management Llc, a provider established in Venice, Florida operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1114695087 assigned on September 2021. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Gulf Coast Hma Physician Management Llc. The authorized official of this NPI record is Jennifer L Jackson (Sr Dr Prov Enrollment & Onboarding)

NPI
1114695087
Provider Legal Name
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Other Organization Name
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
836 SUNSET LAKE BLVD STE 102 VENICE, FL 34292
Location Phone
(941) 497-1771
Location Fax
(941) 497-1860
Mailing Address
PO BOX 689022 FRANKLIN, TN 37068
Mailing Phone
(615) 465-7211
Mailing Fax
(941) 497-1860
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2021
Last Update Date
03-14-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER L JACKSON

Authorized Official Title
SR DR PROV ENROLLMENT & ONBOARDING
Authorized Official Phone
(615) 465-3334

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PENDINGMEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114695087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212412910016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 0 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1114695087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. TRACY NG D.O.

Orthopaedic Surgery

(Sports Medicine)

836 SUNSET LAKE BLVD STE 102
VENICE, FL
ZIP 34292

(941) 497-1771

ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA

Orthopaedic Surgery

836 SUNSET LAKE BLVD STE 102
VENICE, FL
ZIP 34292

(941) 497-1771

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114695087, enumerated as an "organization" on September 03, 2021.

The provider is located at 836 SUNSET LAKE BLVD STE 102 VENICE, FL 34292 and the phone number is (941) 497-1771.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.